Piles Laser Surgery in Rajshahi?
Are you suffering from bleeding during bowel movements? Do you feel something protruding from your anus? Is the pain and discomfort making your daily life difficult?
You may be suffering from Piles (Hemorrhoids) — one of the most common yet under-treated conditions in Bangladesh. Studies suggest that 1 in every 3 adults experiences piles at some point in their life. But due to embarrassment or fear, most people delay treatment — making the condition worse over time.
The good news? Modern laser surgery for piles has completely changed the treatment landscape. No more fear of cutting, no more weeks of painful recovery. In this blog, we will cover everything you need to know about piles — symptoms, causes, grades, and why laser surgery in Rajshahi is the best solution for you.
What Are Piles (Hemorrhoids)?
Piles, medically known as Hemorrhoids, are swollen and inflamed veins in and around the rectum and anus. These swollen veins can cause significant discomfort, bleeding, and pain during bowel movements.
Think of them as varicose veins — but located in the rectal area. When the veins in this area come under excessive pressure, they swell up and form hemorrhoids.
Types of Piles
1. Internal Hemorrhoids: Located inside the rectum. Usually painless, but can cause bright red bleeding during bowel movements. You may not even feel them unless they prolapse (protrude outside).
2. External Hemorrhoids: Located under the skin around the anus. These are more painful and can cause swelling, itching, and discomfort while sitting or walking.
3. Thrombosed Hemorrhoids: When blood pools and clots inside an external hemorrhoid, it becomes a thrombosed hemorrhoid — extremely painful and requires immediate medical attention.
Grades of Piles — How Severe Is Your Condition?
Piles are classified into 4 grades based on severity —
| Grade | Description | Recommended Treatment |
|---|---|---|
| Grade I | Small swellings inside the anus, not visible externally | Dietary changes & medication |
| Grade II | Protrude during bowel movement, retract on their own | Medication or minimally invasive procedures |
| Grade III | Protrude during bowel movement, must be pushed back manually | Laser surgery recommended |
| Grade IV | Permanently prolapsed, cannot be pushed back | Laser or Longo surgery required |
Important: Grade I and II may respond to medication and lifestyle changes. However, Grade III and IV require surgical intervention for a permanent cure.
Signs and Symptoms of Piles
How do you know if you have piles? Look out for these common symptoms —
- Bright red blood during or after a bowel movement (on toilet paper or in the toilet bowl)
- Pain, itching, or soreness around the anus
- A lump or swelling around or inside the anus
- Mucus discharge after passing stool
- Feeling of incomplete emptying after a bowel movement
- Discomfort while sitting for extended periods
- Prolapse — tissue protruding from the anus
What Causes Piles?
Several factors contribute to the development of piles —
1. Chronic Constipation: Straining during bowel movements puts enormous pressure on the rectal veins — the most common cause of piles.
2. Prolonged Sitting: Spending long hours sitting — especially on hard surfaces — increases pressure on the rectal area.
3. Low-Fiber Diet: A diet lacking in fruits, vegetables, and whole grains leads to harder stools and straining.
4. Pregnancy: The growing uterus puts pressure on the pelvic veins, and hormonal changes soften vein walls — making pregnant women highly susceptible.
5. Heavy Lifting: Repeated lifting of heavy objects increases intra-abdominal pressure.
6. Aging: The tissues supporting the veins in the rectum and anus can weaken and stretch with age — especially after 45.
7. Obesity: Excess body weight puts additional pressure on the pelvic and rectal veins.
8. Family History: Genetics play a role — if your parents had piles, you are at a higher risk.
How Are Piles Diagnosed?
An experienced colorectal surgeon can diagnose piles through —
- Visual Inspection — External hemorrhoids are often visible
- Digital Rectal Examination (DRE) — Physical examination of the rectum
- Proctoscopy — A small tube with a light is inserted to view the inside of the rectum
- Video Proctoscopy — The patient and family members can also see the problem on screen in real time
Dr. H.N.M. Shafiquzzaman uses Video Proctoscopy for accurate diagnosis — allowing both the patient and their family to understand the condition clearly before any treatment decision is made.
Treatment Options for Piles
1. Conservative Treatment (Grade I & II)
For mild cases, lifestyle changes and medication can provide significant relief —
- High-fiber diet — Fruits, vegetables, legumes, whole grains
- Adequate water intake — At least 8-10 glasses per day
- Stool softeners — To ease bowel movements
- Sitz baths — Soaking in warm water for 15-20 minutes, 2-3 times daily
- Topical creams and ointments — To reduce swelling and discomfort
- Avoiding prolonged sitting — Take short breaks regularly
2. Surgical Treatment (Grade III & IV)
For advanced piles, surgery is the only permanent solution. In Rajshahi, Dr. HNM Shafiquzzaman offers two world-class surgical options —
Laser Surgery for Piles — The Most Advanced Treatment
Laser Hemorrhoidoplasty (LHP) is the most modern and effective treatment for piles. Using a precisely controlled laser beam, the blood supply to the hemorrhoid is sealed, causing it to shrink and be absorbed by the body — all without any cutting or stitching.
Benefits of Laser Piles Surgery
Here is why laser surgery is far superior to traditional methods —
✅ No Cutting or Stitching — Completely incision-free procedure
✅ Minimal Bleeding — The laser seals blood vessels as it works
✅ Significantly Less Pain — Both during and after the procedure
✅ Discharged in 1 Day — Back home the very next day
✅ Return to Normal Life in 2-3 Days — No long recovery period
✅ Very Low Recurrence Rate — Long-term, permanent solution
✅ Normal Anatomy Preserved — No damage to surrounding tissues
✅ Multiple Piles Treated at Once — Along with fissure and fistula if present
✅ No Risk of Incontinence — The sphincter muscle is never cut
Laser Surgery vs Traditional Surgery — A Comparison
| Aspect | Traditional Surgery | Laser Surgery |
|---|---|---|
| Incision | Large cut required | None |
| Bleeding | Significant | Minimal |
| Pain | Severe | Minimal |
| Hospital Stay | 3-5 days | 1 day |
| Recovery Time | 2-4 weeks | 2-3 days |
| Scar | Visible scar | No scar |
| Recurrence Risk | Higher | Very low |
| Risk of Incontinence | Present | None |
Longo Stapler Surgery for Complex Piles
For large or complex Grade III and IV piles, Longo Stapler Hemorrhoidopexy (also known as Procedure for Prolapse and Hemorrhoids — PPH) is another excellent option.
In this technique, a circular stapling device is used to remove a ring of excess tissue from above the hemorrhoids, pulling them back into their normal position and cutting off their blood supply.
Benefits of Longo/Stapler Surgery
✅ No external wound or stitches visible
✅ Highly effective for large, prolapsed piles
✅ Successful even in cases where previous surgeries have failed
✅ Discharged in 1 day
✅ Return to normal activities within 3-5 days
Combined Laser Surgery — Piles + Fissure + Fistula Together
Many patients who come with piles also have fissure and/or fistula at the same time. Dr. HNM Shafiquzzaman can perform combined laser surgery for all three conditions in a single operation session.
This means —
- One anesthesia, one operation, one recovery
- Saves time, cost, and multiple hospital visits
- Complete resolution of all anorectal issues at once
Why Choose Dr. H.N.M. Shafiquzzaman for Piles Laser Surgery in Rajshahi?
Dr. H.N.M. Shafiquzzaman is the first and only trained Laser Proctology Surgeon in the Rajshahi Division — bringing world-class laser treatment for piles, fissure, and fistula to the region.
Qualifications & Expertise
- MBBS, BCS (Health)
- FCPS (Surgery) — Fellow, College of Physicians and Surgeons, Bangladesh
- FACS (America) — Fellow, American College of Surgeons
- Specialized Training in Laser Proctology — Advanced laser procedures for anorectal diseases
- Associate Professor, Department of Surgery, Rajshahi Medical College
- Expert in: General Surgery, Laparoscopic Surgery, Laser Surgery, Colorectal Surgery
Why Patients from Across Piles Laser Surgery in Rajshahi Division Choose Us
- No need to travel to Dhaka — World-class laser treatment available in Rajshahi
- 7000+ of successful laser surgeries performed
- Video Proctoscopy diagnosis — Patient and family can see the problem themselves
- Personalized treatment plan — Based on grade and severity of piles
- Affordable cost — International-quality treatment at local prices
- Experienced, compassionate care — Every patient is treated with dignity and respect
After Laser Piles Surgery — What to Expect?
Recovery after laser piles surgery is remarkably smooth compared to traditional methods —
Day 1 (Surgery Day):
- Procedure takes 20-40 minutes
- Resting in hospital for a few hours
- Discharged the same evening or the next morning
Day 2-3:
- Mild soreness — managed with prescribed painkillers
- Light diet recommended
- Walk around the house normally
Day 3-7:
- Most patients return to office work
- Avoid heavy lifting for 1-2 weeks
- Fiber-rich diet and plenty of water essential
After 1 Week:
- Nearly back to full normal activities
- Follow-up appointment with Dr. HNM Shafiquzzaman
Diet & Lifestyle After Piles Laser Surgery!
Following these guidelines after surgery will ensure the best recovery —
✔ Drink 8-10 glasses of water daily
✔ Eat plenty of fiber — vegetables, fruits, whole grains, legumes
✔ Never strain during bowel movements
✔ Do not hold the urge to pass stool
✔ Avoid spicy, oily, and processed foods
✔ Take short walks daily — gentle exercise promotes healing
✔ Take Sitz baths — warm water soaking 2-3 times a day
Frequently Asked Questions (FAQ)
Q1: Is laser piles surgery painful? No. The procedure is performed under spinal or general anesthesia, so you feel no pain during surgery. Post-operative pain is also significantly less compared to traditional surgery and is easily managed with prescribed pain medication.
Q2: How long does laser piles surgery take? The procedure typically takes 20-40 minutes, depending on the grade and number of hemorrhoids being treated.
Q3: Can piles come back after laser surgery? The recurrence rate after laser surgery is very low. However, maintaining a high-fiber diet, staying hydrated, and avoiding straining are important to prevent recurrence.
Q4: Can laser surgery treat piles, fissure, and fistula together? Yes. Dr. HNM Shafiquzzamancan perform combined laser surgery for piles, fissure, and fistula in a single operation — saving time and reducing recovery.
Q5: Is it safe to have piles surgery in Rajshahi? Absolutely. Dr. HNM Shafiquzzaman brings FACS (American College of Surgeons) certified expertise and specialized laser proctology training to Rajshahi — offering the same quality of care as top hospitals in Dhaka or abroad.
Q6: How much does laser piles surgery cost in Rajshahi? The cost varies depending on the grade of piles and procedure required. Please contact us directly at 01858-218595 for a personalized consultation.
Q7: What happens if piles are left untreated? Untreated piles can progress from Grade I to Grade IV, making treatment more complex. Complications include severe bleeding, thrombosis (blood clots), strangulation of prolapsed piles, and significant impact on quality of life.
Q8: Do I need general anesthesia for laser piles surgery? Laser piles surgery is performed under spinal or general anesthesia. Dr. HNM Shafiquzzaman will recommend the most appropriate type based on your health condition.
Chamber Information
Rajshahi Chamber
High-Tech Specialized Hospital
72-73 Kazihatah, Laxmipur, Rajshahi
Days: Sunday, Monday, Tuesday & Thursday
Time: 3:30 PM – 8:00 PM
📞 01858-218595 | 01712-934739
Natore Chamber
LabMed Diagnostic Centre
Boro Horishpur, Natore
Days: Saturday & Wednesday | 3:00 PM – 6:00 PM
Friday: 8:30 AM – 3:00 PM
📞 01767-405380 | 01856-441286
Website: www.drhnmshafiquzzaman.com
Conclusion
Piles is not just a physical condition — it affects your confidence, daily activities, and quality of life. But with modern laser surgery for piles in Rajshahi, you no longer have to live with the pain, embarrassment, or fear of treatment.
Dr. H.N.M. Shafiquzzaman — the first trained Laser Proctology Surgeon in Rajshahi Division — offers you a safe, painless, and permanent solution. 70000+ of patients from Rajshahi, Khulna, Rangpur and Dhaka Devision beyond have already experienced life-changing results.
Don’t suffer in silence. Take the first step toward a pain-free life today.
📞 Call Now for an Appointment: 01858-218595